Donate to Hurricane Recovery

Award Request Form

REQUESTER INFORMATION

Please format as XXX-XXX-XXXX.

DELIVERY INFORMATION

Mailing Address (where the completed document should be mailed):

NOMINEE INFORMATION

You can expand on these details in your supporting documents.
If so, please explain and provide details of the event.

SUPPORTING DOCUMENTS

The Order of the Long Leaf Pine

Please include details of the nominee’s years of service in North Carolina as well as any published works, newspaper articles, and notable leadership within a department, organization, or business. It is also appropriate to detail community involvement and volunteerism, and to provide stories about the nominee, descriptions of his/her life perspectives, or other information that allows the Governor’s Office to gain an understanding of his/her character.

All nominations of current state employees must be submitted by a Human Resources Officer and include a statement of service. This information must be on official letterhead, and can be submitted by email to govrequests@nc.gov using subject line: Supporting Documents for Order of the Long Leaf Pine Nomination for: <include name of Nominee>.

All non-state employee nominations must include three (3) letters of recommendation. A statement of service from Human Resources is also required, if available. This information must be on official letterhead, and can be submitted by email at govrequests@nc.gov using subject line: Supporting Documents for Order of the Long Leaf Pine Nomination for: <include name of Nominee>.

Letters of Recommendation: recommenders can include any person who can speak to the nominee’s service, work ethic, character, leadership skills, community involvement, volunteerism, etc. Anyone can be a recommender, including but not limited to: congressional leaders, former teachers, coworkers, community leaders, religious leaders, mentors, students, family friends, etc. Recommenders CANNOT be immediate family members.

Please submit all supporting documents as soon as possible.

The Old North State

Please include details of the nominee’s years of service in North Carolina as well as any published works, newspaper articles, and notable leadership within a department, organization, or business. It is also appropriate to detail community involvement and volunteerism, and to provide stories about the nominee, descriptions of his/her life perspectives, or other information that allows the Governor’s Office to gain an understanding of his/her character.

All nominations must include a statement of service from Human Resources when available. This information must be on official department letterhead, and can be submitted by email at govrequests@nc.gov using subject line: Supporting Documents for Old North State Nomination for: <include name of Nominee>.

Please submit all supporting documents as soon as possible.

Certificate of Appreciation

Please include details of the nominee’s years of service in North Carolina as well as any published works, newspaper articles, and notable leadership within a department, organization, or business. It is also appropriate to detail community involvement and volunteerism, and to provide stories about the nominee, descriptions of his/her life perspectives, or other information that allows the Governor’s Office to gain an understanding of his/her character.

All nominations must include a statement of service from Human Resources when available. This information must be on official letterhead, and can be submitted by email at govrequests@nc.gov using subject line: Supporting Documents for Certificate of Appreciation Nomination for: <include name of Nominee>.

Please submit all supporting documents as soon as possible.

Laurel Wreath Award

Please include details of the athlete or coach's career in North Carolina as well as any newspaper articles, awards, or accolades received at the school, local, state, or national level. It is also appropriate to detail community involvement and volunteerism, and to provide stories about the nominee, descriptions of his/her sportsmanship, or other information that allows the Governor’s Office to gain an understanding of his/her character. NOTE: Nominations for coaches should be submitted by an athletic director.

All nominations must include a letter of recommendation from a coach or athletic director. This information must be on official letterhead, and can be submitted by email at govrequests@nc.gov using subject line: Supporting Documents for Laurel Wreath Nomination for: <include name of Nominee>.

Please submit all supporting documents as soon as possible.

Student Excellence Award

NOTE: Student Excellence Award nominations must be submitted by a principal, teacher, counselor, school administrator, or community leader who is not a family member of the nominee.

Please include details of the student's work in North Carolina as well as any published works, newspaper articles, and notable leadership within an organization, church or civic group, or business. It is also appropriate to detail community involvement and volunteerism, and to provide stories about the nominee, descriptions of his/her life perspectives, or other information that allows the Governor’s Office to gain an understanding of his/her character.

All nominations must include two (2) letters of recommendation. At least one recommender must be the nominee’s school principal, teacher, counselor, or administrator. Recommenders CANNOT be immediate family members.

Letters of Recommendation: recommenders can include any person who can speak to the nominee’s service, work ethic, character, leadership skills, community involvement, volunteerism, etc. Anyone can be a recommender, including but not limited to: congressional leaders, teachers, coworkers, community leaders, religious leaders, mentors, etc.

Please submit these supporting documents as soon as possible by email to govrequests@nc.gov using subject line: Supporting Documents for Student Excellence Nomination for: <include name of Nominee>.

Community Hero Award

Please include details of the nominee’s years of service in North Carolina as well as any published works, newspaper articles, and notable leadership within a department, organization, or business. It is also appropriate to detail community involvement and volunteerism, and to provide stories about the nominee, descriptions of his/her life perspectives, or other information that allows the Governor’s Office to gain an understanding of his/her character.

Correspondence to and from this website may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized state official.